Active NPI
Bethany Autry Robinette, NP-C
- Family Nurse Practitioner
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901628
- Practice address
- 10556 Highway 49
Gulfport, MS 39503-4109 - Phone
- (228) 539-2399
- NPI assigned
- Sep 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 901628 | MS | Primary |
Addresses
Primary practice location
10556 Highway 49
Gulfport, MS 39503-4109
Mailing address
116 Clover LN
Canton, MS 39046-8842
Phone (601) 502-6042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Orange Grove Urgent Care | Current | Accepting new patients | |
| Gulfport 49 Imaging, LLC | Current | Accepting new patients |
Locations
1721 Medical Park Dr
Ste 340B
Biloxi, MS 39532
10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399
2109 Hardy St
Hattiesburg, MS 39401
Phone (601) 296-3290
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1516 23rd Ave
Meridian, MS 39301
Phone (601) 553-6491
1150 S Green St
Ste D
Tupelo, MS 38804
Phone (601) 815-3575
Interoperability endpoints
- brobinette8467@ummc.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Gulfport, MS
- NPI 1831330661
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Flowood Urgent Care
- Urgent Care Clinic/Center
- Flowood, MS
- NPI 1174070650
-
- Radiology Clinic/Center
- Gulfport, MS
- NPI 1134702301
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1043768005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CLOVER LN",
"city": "CANTON",
"state": "MS",
"postal_code": "390468842",
"telephone_number": "601-502-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10556 HIGHWAY 49",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034109",
"telephone_number": "228-539-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINETTE",
"first_name": "BETHANY",
"middle_name": "AUTRY",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "901628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.